Utilization review nurse Jobs in Los Angeles, CA

Last updated: 7 hours ago

Promoted

Registered Nurse / Utilization Review

Emonics LLCBeverly Hills, CA, US

Full-time

Shift : Day 5x8-Hour (08 : 30 - 17 : 00).Orientation Location : 8501 Wilshire Blvd, Beverly Hills, CA.Familiarity with HMO, PPO, POS. Knowledge of medical management process.Position / Specialty : Outpatie...Show moreLast updated: 19 days ago

Promoted

Utilization Review LPN LVN

Providence Health & ServicesMission Hills, CA, United States

Full-time

Care Management is a collaborative practice model including the patients, nurses, social workers, physicians, other practitioners, caregivers and the community. The care management process encompass...Show moreLast updated: 3 days ago

Promoted

Utilization Management Denial Review Nurse - LVN

University of California - Los Angeles HealthLos Angeles, CA, United States

$63,800.00–$127,000.00 yearly

Full-time

Take on a high-impact role within a world-class health organization.Help drive the continued delivery of exceptional patient care. Take your career to the next level.You can do all this and more at ...Show moreLast updated: 1 day ago

Promoted
New!

TRAVEL NURSE RN - CASE MANAGER, UTILIZATION REVIEW - $2,944 PER WEEK

Sharp Nursing Medical StaffingCA, United States

$2,944.00 weekly

Full-time

Sharp Nursing Medical Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Sacramento, California. Job Description & Requirements.Employment Type : Trave...Show moreLast updated: 7 hours ago

Promoted
New!

Travel Nurse RN - Case Manager, Utilization Review

Medical SolutionsDowney, CA, US

Full-time

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Downey, California. Job Description & Requirements.We’re seeking talented health...Show moreLast updated: 19 hours ago

Utilization Management Review Nurse - Hybrid

ApolloMedMonterey Park, California

Astrana Health is looking for a Utilization Review Nurse to assist our Health Services Department.This position will typically work M-F from 8 : 30. We also require weekend and holiday coverage if the...Show moreLast updated: 30+ days ago

Utilization Management Nurse

Presidential Staffing Solutions, LLCLos Angeles, CA, US

$60.00–$75.00 hourly

Full-time

Promoted

RN Utilization Review

Vezita Healthcare Inc / DBA - Vezita ConsultingLos Angeles, CA, United States

$65.00 hourly

Full-time

Name : RN Utilization Review (Remote / Hybrid).Facility : CedarsSinai Medical Center.Location : Los Angeles CA 90048.Contract : 3 month (Possible for extension). Review occurrence reports and the related ...Show moreLast updated: 1 day ago

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New!

RN Case Manager - Utilization Review

University of CaliforniaLos Angeles, CA, United States

$61.79–$79.91 hourly

Full-time

There's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the...Show moreLast updated: 12 hours ago

Promoted

CONTINUING CARE UTILIZATION REVIEW COORDINATOR RN

Kaiser PermanenteCA, United States

$74.51–$96.40 hourly

Full-time

Conducts utilization review for in-house patients and / or those members at contracted facilities.Assists in the discharge planning process. Conducts utilization review for in-house patients and / or me...Show moreLast updated: 4 days ago

Promoted
New!

Florida Licensed Utilization Review Nurse

VirtualVocationsVan Nuys, California, United States

Full-time

A company is looking for a Remote Utilization Review Nurse.Key ResponsibilitiesManage requests for medical services, ensuring they are medically appropriate and necessaryWork towards achieving high...Show moreLast updated: 7 hours ago

Promoted

LVN / LPN / Utilization Review

Diverse LynxBeverly Hills, CA, United States

This position will travel to multiple clinics for incident management and staff training • • •.This position will be supervised and receive assignments from a remote RN. Mileage reimbursement provided...Show moreLast updated: 30+ days ago

Utilization Review Specialist

Willis Knighton HealthWK Medical Center

Centralized staff located at Innovation Center in Bossier.Licensed (RN, LPN, MA) Positions Available.The primary responsibility of Utilization Review is to review medical records and prepare clinic...Show moreLast updated: 30+ days ago

Travel RN -Case Management Utilization Review

ForhyreLos Angeles, Los Angeles County, United States

$1,900.00–$2,500.00 weekly

Quick Apply

Job Title : Travel RN Case Management Utilization Review.Salary Range : From $1,900 to $2,500 per week.Shift : 8-hour Day Shift (Monday to Friday). Duration : [Specify Number of Weeks] (C...Show moreLast updated: 30+ days ago

Promoted

UTILIZATION MANAGEMENT NURSE, SENIOR

Blue Shield of CaliforniaCA, United States

Full-time

The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions / never eve...Show moreLast updated: 1 day ago

Utilization Review Specialist

Lexington Medical CenterSunset Blvd

Performs admission and concurrent stay medical record review to determine appropriateness of admission, continued stay, and setting. Follows patient throughout hospitalization collaborating with att...Show moreLast updated: 30+ days ago

Utilization Review RN

ProvidenceMission Hills, CA, United States

Part-time

Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries.Conduct clinical reviews and review medical records daily during admission for all payers, as required b...Show moreLast updated: 30+ days ago

Utilization Management Denial Review Nurse - LVN

UCLA HealthLos Angeles, CA, US

$61,400.00–$121,400.00 yearly

Promoted

Utilization Manager

APLA HealthLos Angeles, CA, US

$85,604.88–$110,456.29 yearly

Full-time

Baldwin Hills - Offices - Los Angeles, CA.This position is responsible for the management of the daily operations of Utilization Management (UM) at APLA Health and Wellness (APLAHW).This position w...Show moreLast updated: 5 days ago

Registered Nurse / Utilization Review

Emonics LLCBeverly Hills, CA, US

19 days ago

Job type

Full-time

Job description

Shift : Day 5x8-Hour (08 : 30 - 17 : 00)

Description :

Hybrid / Remote

Orientation Location : 8501 Wilshire Blvd, Beverly Hills, CA

Required :

RN license in CA

3 years of clinical experience in hospital or urgent care

Utilization review experience

Knowledge of ICD10, CPT, HCPC

Familiarity with HMO, PPO, POS

Preferred :

Managed care experience

Knowledge of medical management process

Knowledge of NCQA regulations

Position / Specialty : Outpatient / Utilization Review

Years of experience REQ : 3 years

First-timers accepted : Yes

Weekend REQ : No

Certs REQ : BLS

Is on-call REQ? No

Will clinician float within scope to meet facility needs? No

Locals accepted : Yes

Pending License accepted : No

RTO Restrictions : None

Hospital Highlights

Type of Facility : Outpatient

Charting : Epic